| Doctor Name: | DR. BRAD CLINTON PHILLIPS |
| NPI Number: | 1083866974 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.V.M. |
| License Number: | VET7103 |
| Business Practice Address: | 1510 Piedmont Ave Ne Atlanta, GA - 303245032 |
| Business Phone Number: | 4048757387 |
| Business Fax Number: | |
| Mailing Address: | 4525 Springwood Dr, MONROE |
| State: | GA |
| Postal Code: | 306558394 |
| Phone Number: | 7702666167 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2008 |
| NPI Last Update Date: | 10/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | VET7103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |